Nine out of ten trauma calls to a Norwegian hospital are avoidable: a retrospective analysis

BMC Emergency Medicine

Research Article

Harald Stordahl¹  Erik Waage Nielsen²  Andreas Hopland³  Eva Passas⁴ 

[1] Department of Anaesthesia and Intensive Care, Nordland Hospital Bodø, Bodø, Norway;Department of Prehospital Medical Services, Nordland Hospital Bodø, Bodø, Norway;Department of Anaesthesia and Intensive Care, Nordland Hospital Bodø, Bodø, Norway;The Universities of Nordland and Tromsø, Tromsø, Norway;Department of Surgery, Nordland Hospital Bodø, Bodø, Norway;The University of Tromsø, Tromsø, Norway;

关键词: Trauma team activation;    Overtriage;    Time lapse;    Healthcare resource utilization;   

DOI  :  10.1186/s12873-015-0026-5

 received in 2013-07-07, accepted in 2015-01-15,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundOur aim was to estimate the degree of overtriage (Injury Severity Score [ISS] ≤ 15) of trauma call patients in Nordland Hospital Bodø, Norway. We also determined the transportation time from injury to hospital admission.MethodsWe used data from our Acute Medical Information System, ambulance records and patient charts relating to ISS and estimation of response and transport times. Data were collected for all trauma call patients in the period from the establishment of the trauma call system in June 2008 until the 31st of December 2010.ResultsWe identified 421 out of 458 possible trauma call patients with sufficient clinical information available for ISS scoring. Of these 385 had an ISS ≤15. Overtriage was 91.5% (95% CI: 88.8%–94.2%). Median time from injury to the arrival of transport, and from injury to arrival in hospital, was 36 minutes and 1 hour 27 minutes, respectively.ConclusionsTo our knowledge 91.5% is the highest overtriage ever published. There is a need for narrowing the trauma call criteria. This could be achieved by implementing clinical observations during the long transportation time.

【 授权许可】

CC BY   
© Stordahl et al.; licensee BioMed Central. 2015